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Neurocritical Care of Intracranial Brain Tumor Surgery: An Overview
Alexis R Narvaez-Rojas1, Joulem Mo-Carrascal2, Johana Maraby2, Guru D Satyarthee3, Samer Hoz4, Andrei F Joaquim5, Luis R Moscote-Salazar6
1 Department of Neurosurgery, Latin America Foundation of Neurotrauma & Neuro Critical Care, Red Latino, Colombia
2 Researcher, Universidad Nacional Autonoma de , Managua, Nicaragua
3 All Institute of Medical Sciences, New Delhi, India
4 Neurosurgeon, Neurosurgery Teaching Hospital, Baghdad, Iraq
5 Department of Neurology, State University of Campinas, Campinas, Sao Paulo, Brazil
6 Department of Neurosurgery, Latin America Foundation of Neurotrauma & Neuro Critical Care, Red Latino; Cartagena Neurotrauma Research Group, University of Cartagena, Cartagena, Colombia
Correspondence Address:
Luis R Moscote-Salazar
Facultad de Medicina, Campus de Zaragocilla, Universidad de Cartagena, Cartagena de Indias
Colombia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/mamcjms.mamcjms_79_17
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The principal aim of neurointensive care in patients with intracranial tumor surgery is prevention, prediction, early detection, and the prompt treatment of postoperative complications. Maintenance of proper hemodynamic and adequate respiratory support is necessary to prevent postoperative mass effect due to cerebral edema, hydrocephalus, hematoma, and infarct causing cerebral herniation syndromes. Invasive blood pressure monitoring is usually recommended along with measuring intracranial pressure to allow the proper evaluation of cerebral perfusion pressure and an effective cerebral blood flow. For the effective neurocritical intensive care of surgical patients with brain tumors, good harmony, interaction, and communication between the neurosurgeon and the neurointensive team is of paramount importance.
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